Director of Workers' Compensation Network Development & Operations

NEO Surgical Group LLC

$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years experience in Florida Workers' Compensation and related fields
  • Proven success in generating referrals and network participation
  • Strong understanding of the Workers' Compensation patient lifecycle
  • Exceptional communication, negotiation, and relationship-building skills
  • Ability to independently develop and implement strategic initiatives

Responsibilities

  • Develop and lead the Workers' Compensation division across Florida
  • Identify and negotiate partnerships with key stakeholders in the Workers' Compensation sector
  • Design operational workflows for patient management
  • Collaborate with medical teams to ensure coordinated care for injured workers
  • Monitor performance metrics related to referral volume and financial outcomes
  • Recruit and train future team members in Workers' Compensation coordination
  • Represent the organization at networking and industry events

Benefits

  • Opportunity to shape and grow a new business platform
  • Collaborative work environment with healthcare professionals
  • Autonomy to create strategic initiatives
  • Potential for significant impact on organizational direction
  • Regular travel opportunities across Florida
Full Job Description
This is not a traditional administrative role.

This is an opportunity for a high-performing professional to develop a Workers' Compensation business platform from the ground up, establish strategic referral relationships, expand network participation, create operational infrastructure, and help shape the future of a growing healthcare organization.
Key Responsibilities
Network Development & Business Growth
  • Develop and lead NEO Surgical Group's Workers' Compensation division throughout Florida.
  • Identify, pursue, negotiate, and manage participation with Workers' Compensation networks, carriers, TPAs, managed care organizations, self-insured employers, and employer groups.
  • Lead provider network applications, credentialing requirements, contracting, reimbursement discussions, onboarding, and ongoing account management.
  • Build and maintain relationships with:
    • Claims Adjusters
    • Nurse Case Managers
    • Case Management Companies
    • Risk Managers
    • Employers
    • Occupational Health Providers
    • Attorneys
    • Workers' Compensation Stakeholders
  • Create and implement market-specific growth strategies for all NEO locations.
Operations & Program Development
  • Design and implement operational workflows for Workers' Compensation patients.
  • Develop processes involving:
    • Scheduling
    • Authorizations
    • Medical Records
    • Work Status Reporting
    • Communication Standards
    • Referral Management
    • Billing Coordination
    • Patient Follow-Up
  • Collaborate closely with physicians, clinic leadership, surgery centers, imaging departments, rehabilitation providers, and billing teams.
  • Ensure injured workers receive timely, coordinated, high-quality care.
Leadership & Performance Management
  • Monitor and analyze:
    • Referral Volume
    • Authorization Turnaround Times
    • Conversion Rates
    • Reimbursement Performance
    • Denials
    • Accounts Receivable
    • Department Profitability
  • Develop performance metrics and reporting processes.
  • Recruit, train, mentor, and supervise future Workers' Compensation coordinators and support staff.
  • Represent NEO Surgical Group at industry events, networking functions, and business development meetings throughout Florida.
Required Qualifications
  • Minimum of 5 years of direct experience in:
    • Florida Workers' Compensation
    • Provider Relations
    • Network Development
    • Occupational Medicine
    • Orthopedic or Spine Healthcare
    • Pain Management
    • Rehabilitation Services
    • Surgery Center Operations
    • Managed Care
  • Demonstrated success generating Workers' Compensation referrals or obtaining network participation.
  • Existing experience working with:
    • Carriers
    • TPAs
    • Adjusters
    • Nurse Case Managers
    • Employers
    • Managed Care Organizations
    • Provider Networks
  • Strong understanding of the complete Workers' Compensation patient lifecycle, including:
    • Referrals
    • Authorizations
    • Utilization Review
    • Work Status Documentation
    • Medical Records
    • Billing
    • Denials
    • Collections
  • Strong communication, presentation, negotiation, and relationship-building skills.
  • Ability to work independently and develop strategic growth initiatives.
  • Willingness to travel regularly to locations throughout Florida.
Preferred Qualifications
  • Existing Florida Workers' Compensation referral relationships.
  • Experience with occupational medicine or employer-directed care programs.
  • Experience leading provider relations, business development, or Workers' Compensation departments.
  • Bachelor's degree in Healthcare Administration, Business, Marketing, or related field.
  • Experience working within orthopedic, spine, pain management, physical therapy, imaging, or surgical environments.
Who Will Thrive in This Role?

We are seeking someone who:
  • Enjoys building rather than maintaining.
  • Has an entrepreneurial mindset.
  • Understands how to create strategic referral relationships.
  • Is highly accountable and results-driven.
  • Can develop systems, processes, and teams.
  • Thinks in terms of growth, performance, and long-term scalability.
  • Wants the opportunity to make a significant impact on an organization's future.

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